| Mr Thomas Blair Matheson, MD | |
|
12 6th Ave Sw, Bowman, ND 58623-4518 | |
| (701) 523-3226 | |
| (701) 523-7107 |
| Full Name | Mr Thomas Blair Matheson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 37 Years |
| Location | 12 6th Ave Sw, Bowman, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558365106 | NPI | - | NPPES |
| 10597 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53815 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 7998 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jamestown Regional Medical Center | Jamestown, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Sanford Medical Center Worthington | Worthington, MN | Hospital |
| Sanford Jackson Medical Center | Jackson, MN | Hospital |
| Coteau Des Prairies Health Care System | Sisseton, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Brookings | 1052307105 | 95 |
| Lisbon Area Health Services | 4486562873 | 7 |
| Sanford Health Network | 6800707100 | 307 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | City Of Brookings |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002 |
| Entity Name | Madison Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20040423000982 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851305296 PECOS PAC ID: 6800707100 Enrollment ID: O20070726000118 |
| Entity Name | Madison Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20101012001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Blair Matheson, MD 12 6th Ave Sw, Bowman, ND 58623-4518 Ph: (701) 523-3226 | Mr Thomas Blair Matheson, MD 12 6th Ave Sw, Bowman, ND 58623-4518 Ph: (701) 523-3226 |